The Long March to Universal Coverage : Lessons from China

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collection.link.222
https://openknowledge.worldbank.org/handle/10986/13083
collection.name.222
UNICO Studies Series
dc.contributor.author
Liang, Lilin
dc.contributor.author
Langenbrunner, John C.
dc.date.accessioned
2013-05-06T16:18:27Z
dc.date.available
2013-05-06T16:18:27Z
dc.date.issued
2013-01
dc.description.abstract
The march to Universal Health Coverage (UHC) in China is unparalleled. Since the establishment of the State Council Medical Reform team in 2006,4 the basic objective of China's health reforms has been to provide the whole nation with basic medical and health care, while ensuring equal access to, and affordability of, health services. The Chinese government announced the national three-year reform plan in 2009, after which the country has made remarkable progress toward achieving nearly universal health coverage. The recent health reform initiatives under the 12th Five-Year Plan (2011-2015) continue to center on five areas. Building on recent experience, more effort is directed toward a structural change of the health system and building an environment that will facilitate policy implementation. This includes optimizing resource distribution, encouraging hospital competition, strengthening regulation and accountability, and enhancing human resources and information technology. While China has successfully extended the breadth of Health Coverage to the Poor (HCP), its scope (the comprehensiveness of services covered) and depth (the degree of financial risk protection) appear to be insufficient. Hospital admissions have increased significantly; suggesting improved access, up to 50 percent of current admissions may be amenable to more cost-effective outpatient care. Thus, it is critical to look into problems beyond the HCP program design, such as institutional arrangements, intergovernmental transfers, and supply constraints. This case study concludes with a discussion of the impacts of HCP and the needed next steps to advance HCP as an intermediate objective to the country's longer-term goals of equitable access and high quality of services.
en
dc.identifier.uri
http://hdl.handle.net/10986/13303
dc.language.iso
en_US
dc.publisher
World Bank, Washington DC
dc.relation.ispartofseries
UNICO Study Series;No. 9
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.subject
Access to health services
dc.subject
access to services
dc.subject
accountability mechanisms
dc.subject
adverse selection
dc.subject
adverse selection problems
dc.subject
allocative efficiency
dc.subject
basic health care
dc.subject
basic health services
dc.subject
beds
dc.subject
breast cancer
dc.subject
budget allocation
dc.subject
care institutions
dc.subject
Center for Health
dc.subject
cervical cancer
dc.subject
cities
dc.subject
clinics
dc.subject
community health
dc.subject
community health services
dc.subject
contribution rate
dc.subject
cost control
dc.subject
cost structure
dc.subject
decision making
dc.subject
delivery system
dc.subject
developing countries
dc.subject
Development Goals
dc.subject
doctors
dc.subject
economic growth
dc.subject
elderly
dc.subject
elderly people
dc.subject
epidemic
dc.subject
equal access
dc.subject
equitable access
dc.subject
essential drugs
dc.subject
essential medicines
dc.subject
Expenditures
dc.subject
families
dc.subject
fee schedule
dc.subject
fee-for-service
dc.subject
fee-for-service system
dc.subject
financial barriers
dc.subject
financial contributions
dc.subject
financial incentives
dc.subject
Financial protection
dc.subject
financial risk
dc.subject
financial risk protection
dc.subject
financial risks
dc.subject
fiscal policies
dc.subject
fiscal policy
dc.subject
General Health System
dc.subject
general practitioners
dc.subject
global budgets
dc.subject
global campaign
dc.subject
health care
dc.subject
health care costs
dc.subject
health care delivery
dc.subject
health care reform
dc.subject
health care services
dc.subject
Health Care System
dc.subject
Health Care System Reform
dc.subject
health care workers
dc.subject
health centers
dc.subject
Health Coverage
dc.subject
health delivery
dc.subject
health delivery system
dc.subject
health education
dc.subject
Health Expenditure
dc.subject
Health Expenditures
dc.subject
health financing
dc.subject
health infrastructure
dc.subject
health institutions
dc.subject
health insurance coverage
dc.subject
health insurance program
dc.subject
health insurance scheme
dc.subject
Health Insurance Schemes
dc.subject
health insurance system
dc.subject
health management
dc.subject
Health Organization
dc.subject
health outcomes
dc.subject
health planning
dc.subject
health policy
dc.subject
health professionals
dc.subject
health programs
dc.subject
Health providers
dc.subject
health reform
dc.subject
health reforms
dc.subject
health resources
dc.subject
health sector
dc.subject
Health Service
dc.subject
health service utilization
dc.subject
Health Services
dc.subject
Health Status
dc.subject
Health System
dc.subject
health system reform
dc.subject
health systems
dc.subject
health workers
dc.subject
health workforce
dc.subject
healthcare services
dc.subject
hospital admission
dc.subject
Hospital admissions
dc.subject
hospital beds
dc.subject
hospital care
dc.subject
hospital cost
dc.subject
hospitalization
dc.subject
Hospitals
dc.subject
Human Resources
dc.subject
ill health
dc.subject
impact evaluations
dc.subject
impact on health outcomes
dc.subject
incentives for doctors
dc.subject
income
dc.subject
income countries
dc.subject
induced demand
dc.subject
informal sector
dc.subject
informatics
dc.subject
information system
dc.subject
information systems
dc.subject
inpatient care
dc.subject
insurance coverage
dc.subject
insurance funds
dc.subject
insurance premiums
dc.subject
insurers
dc.subject
integration
dc.subject
intervention
dc.subject
kidney diseases
dc.subject
large cities
dc.subject
laws
dc.subject
leukemia
dc.subject
living standards
dc.subject
local authorities
dc.subject
marginal costs
dc.subject
market economy
dc.subject
medical bills
dc.subject
medical care
dc.subject
medical education
dc.subject
medical expenses
dc.subject
Medical Insurance
dc.subject
medical records
dc.subject
medical resources
dc.subject
medical savings accounts
dc.subject
medical services
dc.subject
medical staff
dc.subject
medicines
dc.subject
mental illness
dc.subject
migrant
dc.subject
migrant workers
dc.subject
Ministry of Health
dc.subject
mortality
dc.subject
mortality rate
dc.subject
movement of People
dc.subject
National Development
dc.subject
National Health
dc.subject
national health expenditure
dc.subject
National Health Insurance
dc.subject
National Health Services
dc.subject
nurses
dc.subject
nursing
dc.subject
outpatient care
dc.subject
outpatient services
dc.subject
patient
dc.subject
patient outcomes
dc.subject
Patients
dc.subject
pharmaceutical companies
dc.subject
pharmacists
dc.subject
physician
dc.subject
physicians
dc.subject
pocket payment
dc.subject
policy framework
dc.subject
policy makers
dc.subject
political support
dc.subject
poor health
dc.subject
prescription drugs
dc.subject
primary care
dc.subject
Private Health Insurance
dc.subject
progress
dc.subject
provider incentives
dc.subject
provider payment
dc.subject
provision of care
dc.subject
psychiatric hospital
dc.subject
Public Health
dc.subject
Public Health Services
dc.subject
public health spending
dc.subject
public hospital
dc.subject
Public Hospitals
dc.subject
public sector
dc.subject
public services
dc.subject
public spending
dc.subject
quality care
dc.subject
quality of services
dc.subject
reimbursement rates
dc.subject
Rural Areas
dc.subject
rural health care
dc.subject
rural population
dc.subject
rural residents
dc.subject
safety net
dc.subject
school children
dc.subject
social development
dc.subject
social equity
dc.subject
social health insurance
dc.subject
Social Insurance
dc.subject
Social Security
dc.subject
Social Security benefits
dc.subject
Social Services
dc.subject
social welfare
dc.subject
tuberculosis
dc.subject
unemployment
dc.subject
universal access
dc.subject
urban areas
dc.subject
urbanization
dc.subject
vicious cycle
dc.subject
violence
dc.subject
waste
dc.subject
workers
dc.subject
working conditions
dc.subject
World Health Organization
dc.title
The Long March to Universal Coverage : Lessons from China
en
okr.date.disclosure
2013-03-01
okr.doctype
Publications & Research :: Working Paper
okr.doctype
Publications & Research
okr.globalpractice
Health, Nutrition, and Population
okr.globalpractice
Governance
okr.globalpractice
Finance and Markets
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.report
74960
okr.language.supported
en
okr.region.administrative
East Asia and Pacific
okr.region.country
China
okr.topic
Health, Nutrition and Population :: Health Economics & Finance
okr.topic
Health, Nutrition and Population :: Health Monitoring & Evaluation
okr.topic
Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic
Health, Nutrition and Population :: Population Policies
okr.topic
Law and Development :: Health Law
okr.unit
Health Systems (WBIHS)

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